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September 16, 2025Circulation Cardiovascular Interventions

Prospective Observational Study on the Accuracy of Predictors of Permanent Pacemaker Secondary to High-Grade Atrioventricular Conduction Block After TAVI (CONDUCT-TAVI)

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Authors

KRKaran RaoBCBernard P.L. ChanKBK. Bhatia

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Overview

Prospective observational study identifies key predictors for permanent pacemaker implantation in patients after TAVI, indicating significant implications for follow-up care.

Key Points

  • Permanent pacemaker implantation occurred in 21.0% of patients after TAVI, signifying a substantial rate of high-grade atrioventricular block.
  • Key predictors for PPMI included preexisting right bundle branch block with an adjusted odds ratio of 5.45, highlighting critical risk factors.
  • Observational study across 200 patients utilized continuous rhythm monitoring and multivariable logistic regression to assess predictors effectively.
  • The CONDUCT-TAVI score, incorporating findings from electrophysiology studies, aids in identifying low-risk patients for tailored follow-up strategies.

Cite This Study

Rao et al. (2025) studied this question.

synapsesocial.com/papers/68d42056713b0b5dfea69285https://doi.org/10.1161/circinterventions.125.015446
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rapid Atrial Pacing After TAVI for Pacemaker Prediction2025 · 2 citations
  2. 2Comparison of patients developing early versus delayed indication for permanent pacemaker implantation after transcatheter aortic valve implantation2026
  3. 3Effectiveness of the electrophysiological study for risk stratification of conduction disturbances after transcatheter aortic valve implantation2026
  4. 4Pacemaker dependency after transcatheter aortic valve implantation: a 15-year single-centre experience2026
  5. 5Impact of Early Versus Delayed Permanent Pacemaker Implantation on Clinical Outcomes in Patients with Third-Degree Atrioventricular Block After Transcatheter Aortic Valve Replacement: A National Inpatient Sample Analysis2025